Organization Active NPI

Adept Home Health Services Inc

  • Home Health Agency
  • Upland, CA
National Provider Identifier
1073630596
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
240000655 Issued in CA
Legal business name
ADEPT HOME HEALTH SERVICES INC
Practice address
818 N Mountain Ave Ste 120
Upland, CA 91786-4164
Phone
(909) 608-0006
Fax
(909) 608-0008
NPI assigned
Mar 22, 2007
Last updated
Nov 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Alfredo Hyams, RN
Title
Administrator
Phone
(909) 608-0006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 240000655 CA Primary

Addresses

Primary practice location

818 N Mountain Ave Ste 120
Upland, CA 91786-4164

Mailing address

818 N Mountain Ave Ste 120
Upland, CA 91786-4164
Phone (909) 608-0006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040924001014 CA Part A Provider - Home Health Agency 4880663012 1 other NPI on this enrollment
Practice locations: Upland, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073630596. Details of each certification follow.

Home health agency certification: CCN 557735

Legal name
ADEPT HOME HEALTH SERVICES INC
Doing business as
ADEPT HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 27, 1996
Last certification
Mar 22, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 24, 2004 in CA
Enrollment address
818 N Mountain Ave
Ste 120
Upland, CA 91786-4164

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Home health agency

Medicare Care Compare
Listed as
Adept Home Health Services, IncCCN 557735 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Sep 27, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

1131 W 6th St
Ste 270
Ontario, CA 91762
Phone (626) 331-8177

818 N Mountain Ave
Ste 120
Upland, CA 91786
Phone (909) 608-0006

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Alfredo J Hyams Individual 5% Or Greater Direct Ownership InterestOwner Nov 1, 2019 100%
Corporate OfficerCeo Nov 1, 2019 100%
Corporate DirectorBoard Member Nov 1, 2019 100%
W-2 Managing EmployeeAdministrator Nov 1, 2019 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1073630596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 N MOUNTAIN AVE STE 120",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864164",
            "telephone_number": "909-608-0006",
            "fax_number": "909-608-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 N MOUNTAIN AVE STE 120",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864164",
            "telephone_number": "909-608-0006",
            "fax_number": "909-608-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADEPT HOME HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "HYAMS",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-608-0006",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "240000655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.